SCIATICA/BACK PAIN

Signs and Symptoms

*Lower back pain accompanied by radiating leg pain below the knee.

Differential Diagnosis

*Piriformis syndrome - Posterior buttock pain. May be caused by leg length inequality.
*Mechanical lower back pain - May be caused by leg length inequality.
*Sprain/strains - due to trauma.

Etiology (Cause)

*Disc bulging causing pressure on nerve roots. May be sudden onset from a bending/twisting maneuver. May have past history of lower back pain that resolved.

Treatment

*Orthotics
*Physiotherapy therapy modalities (ice, massage, ultrasound).
*Manual therapy (motion release, foot, knee and pelvic adjustments).
*Lower back and abdominal strengthening.